Notice of Action

Official source

If the A/R is determined to be eligible, she will be given temporary Medical Assistance certification forms. The member will have immediate access to health care and the full range of Medical Assistance covered services until the Medical Assistance card is received. If the temporary Medical Assistance Certificate does not print showing an approval, the A/R is provided with a DMA 634W - Women’s Health PE Approval Notice of Action advising of approval and a list of cancer specialists in her area.

If the A/R is determined to be ineligible, DPH provides: a DMA 634W - Women’s Health PE Approval Notice of Action advising of ineligibility, an application for the State Cancer Aid Program, and a list of cancer specialists in her area.

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Notice of Action

Official source

If the A/R is determined to be eligible, she will be given temporary Medical Assistance certification forms. The member will have immediate access to health care and the full range of Medical Assistance covered services until the Medical Assistance card is received. If the temporary Medical Assistance Certificate does not print showing an approval, the A/R is provided with a DMA 634W - Women’s Health PE Approval Notice of Action advising of approval and a list of cancer specialists in her area.

If the A/R is determined to be ineligible, DPH provides: a DMA 634W - Women’s Health PE Approval Notice of Action advising of ineligibility, an application for the State Cancer Aid Program, and a list of cancer specialists in her area.